Eva Lou Beatty, LCSW
Individual provider Active NPI Clinical Social Worker · Moab, UT
NPI 1346462363 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1346462363
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 135145-3501 (UT)
- Practice address
- 115 W 200 S # 7
Moab, UT 84532-2534 - Phone
- (435) 260-2324
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135145-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gubler'S Physical Therapy | Past |
Accepting new patients | |
| Four Corners Community Behavioral Health, Inc. | Past |
Accepting new patients | |
| Four Corners Community Behavioral Health Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 135145-3501 | UT | Yes |
Addresses
Primary practice location
115 W 200 S # 7
Moab, UT 84532-2534
Mailing address
715 Bartlett Ave
Moab, UT 84532-2205
Phone (435) 260-2324
Other providers in Moab, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.